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目的:评价自我管理小组活动在社区2型糖尿病患者健康管理中的干预效果,为补充推广新型社区糖尿病健康管理模式提供依据。方法:在宁波市江东区5个社区招募100名确诊2型糖尿病患者参加自我管理小组活动。对活动前后糖尿病防治知识、健康管理行为和自我效能进行问卷调查。结果:共有96名患者全程参与自我管理小组活动,其中男性33人(34.38%),女性63人(65.63%);平均年龄为66.97±6.87岁。活动前后患者糖尿病相关知识知晓率分别为32.8%和77.6%,差异有统计学意义(P<0.05)。活动结束时患者采取措施控制血糖、掌握自我足部检查方法、掌握胰岛素注射方法的比例较活动前明显升高(P<0.05)。患者的自我效能得分较活动前明显升高,差异有统计学意义(P<0.05)。结论:自我管理小组活动有效提高糖尿病患者的认知水平、增强健康管理能力、提升自我效能,建议社区更多组织开展糖尿病患者自我管理小组活动。
OBJECTIVE: To evaluate the intervention effect of self-management group activities on the health management of patients with type 2 diabetes in community, and to provide basis for supplementing and promoting the new community diabetes health management model. Methods: 100 diazepam patients were recruited in 5 communities in Jiangdong District of Ningbo City to participate in self-management group activities. Before and after the event prevention and treatment of diabetes knowledge, health management behavior and self-efficacy questionnaire. Results: A total of 96 patients participated in self-management group activities, including 33 males (34.38%) and 63 females (65.63%) with an average age of 66.97 ± 6.87 years. Before and after the activities of patients with diabetes-related knowledge were 32.8% and 77.6%, the difference was statistically significant (P <0.05). At the end of the activity, the patients took measures to control blood sugar, master the self-foot examination method, and master the proportion of insulin injection method significantly higher than that before the activity (P <0.05). The self-efficacy score of patients was significantly higher than that before activity, the difference was statistically significant (P <0.05). Conclusion: The self-management group activities effectively improve the cognitive level of diabetic patients, enhance the ability of health management and self-efficacy, and suggest that more community organizations should carry out self-management activities of diabetic patients.